Non-operative Treatment of Adult Clavicular Shaft Fractures and Functional Outcomes

Objective: In our study, we aimed to assess the effect of the conservative treatment for clavicular midshaft fractures to shoulder functions in adults. Methods: A total of 19 patients with clavicular midshaft fracture were evaluated. Clinical and radiological follow-up was performed for all patients. The length of fractured and intact clavicle was measured using computed tomography. Shoulder functions were assessed with DASH and Constant scores. Results: The patients comprised of 15 males and 4 females; the mean age was 35.5 years. The mean follow-up period was 20.6 months. While complete union was achieved in 11 patients, 6 patiens developed malunion and 1 patient developed non-union. All patients having a malunion reported discomfort arising in a process over the clavicle. When the mean DASH score was measured as 6.6, the mean constant score of 84.4 points was assessed as a good result. Conclusion: Most clavicular midshaft fractures can be effectively treated with conservative therapy. Although mal-union occurs at a higher rate, it does not affect the shoulder functions.